Individual
WARREN EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
751 PLEASANT ROW NW, HUNTSVILLE, AL 35816-2537
(256) 533-6311
(256) 536-0801
Mailing address
PO BOX 18488, HUNTSVILLE, AL 35804-8488
(256) 534-8659
(256) 533-0276
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
15393
AL
207Q00000X
Family Medicine Physician
Primary
15393
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268038
—
AL
01
—
51258138
BCBSAL
AL
Enumeration date
05/25/2006
Last updated
01/28/2022
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